Type not stated
Screen this subjectDai O. Moon
Debarred entityUnited States. Named in 1 sanctions listing.
Summary
License number: C1-0002324
Sanctions and listings1
- Effective
- 5 Mar 2019
Official designation
Delaware Board of Medical Licensure and DisciplineUS Delaware Medicaid Sanctioned ProvidersUnited States
Manage Care Reporting Only-Active, Practitioner-Med Xover-Lab Services- Terminated in DMES -VFC-Disclosure not received-in DMES-Sanction is License on Probation
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1376537746 |
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